A pair of epigraphs and some random gleanings from the archives of the Wangensteen Medical Library at the University of Minnesota:
When I lie down, I say, when shall I arise,
and the night be gone? And I am full of tossing
to and fro unto the dawning of the day.
–The Book of Job, 7-4
This relentless repetition of the same illegible text….
–Yannis Ritsos, “Insomnia”
Melancholics are not so sleepless as maniacs, yet the want of sleep is often an early and prominent symptom. They do not readily sleep, and if they do, they awake soon to be tormented by the vilest misery that it is possible for human creatures to endure.
–A.W, MacFarlane, M.D., Insomnia and its Therapeutics, 1891
Want of refreshing sleep we believe to be the frequent origin of insanity, dependent upon moral causes.
–John Charles Bucknill and Daniel H. Tuke, Psychological Medicine. 1858
Those who pursue a desultory method of thinking are very often the victims of an obstinate and peculiarly distressing form of insomnia. During the day such persons are observed to apply themselves with apparent zeal to the regular vocations of life; but, if closely observed, there is often visible a certain absence of concentration and devotion to the particular matter in hand. When questioned upon this point, they admit that they are ‘absent-minded’; and, while only too willing to apply themselves, are frequently tormented by the intrusion of ideas totally foreign to the particular subject at hand….they carry their responsibilities to bed with them; and, while other minds are at rest, their own intellection is morbidly active. Midnight, and even the small hours of the morning, find such individuals speculating upon the pros and cons of the past and future with an intensity which often drives them to a state of positive desperation. The small ills of life assume alpine proportions, and even the most trivial circumstances are distorted and magnified a thousand-fold. When at last sleep actually does supervene, it is no longer psychological, but, on the contrary, perverted by dreams and unconscious cerebration to such a degree that these unhappy individuals can hardly be said to have slept in the ordinary sense of the word.
–J. Leonard Corning, Brain Rest. 1885
Under [insomnia’s] influence injurious changes are permitted by the patient to be made in his daily habits; pursuits which formerly engaged his attention no longer interest him; even important business concerns are sacrificed; and against such tendencies no pre-existing vigour of intellect will afford any defence; the strongest minds (intellectually considered) may sink into apathy and feebleness.
–James Russell, M.D., “On Sleeplessness.” British Medical Journal, November 16, 1861
After dinner, my friend drove me, in a carriage, some five miles back into the country –the greater part of the way, along the margin of Migunticook Lake, and under a terrific precipice, whose boulders every moment threaten destruction. In fact, the whole of a bright sunny day, cooled with healthful zephyrs, was spent in pleasurable excitement. Interesting conversation beguiled the evening; and, after family worship, I sunk to rest in a luxurious curtained bed. Ere long, I slept; and, about five o’clock next morning, was awakened by the crowing of the cock. This was the only night’s sleep I have had these last six years and seven months; so help me God. Since then, my nights have been tedious, as usual, without sleep, and some of them distressing.
–“An Example of Protracted Wakefulness,” Boston Medical and Surgical Journal. July 31, 1845
Experience in private practice, and extended observation in the wards of general and lunatic hospitals, have taught me that the ordinary hypnotics are frequently unreliable, and that in some instances their use is attended by results as bad as, if not of more serious consequence than, the conditions they were intended to remove. I do not wish by this somewhat sweeping assertion to be understood to condemn the ordinary hypnotics, or to doubt their efficacy in suitable cases; but it seems to me that we run great danger of becoming routinists in the matter of sleeping-draughts….Like most of my fellow practitioners, I constantly meet patients who have run through the whole gamut of sleep-producing drugs, and find their last condition, in many instances, worse than their first.
–Edward N. Brush, M.D., “Some Clinical Experiences With Insomnia,” The Practitioner, January 1889
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